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Home My WebLink About47419-Z v=-- S�F�OL Town of Southold 2/20/2022 0 P.O.Box 1179 53095 Main Rd �A ®fir Southold,New York 11971 pl � jr CERTIFICATE OF OCCUPANCY No: 42808 Date: 2/20/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 500 Blossom Bend,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-6-31.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/4/2022 pursuant to which Building Permit No. 47419 dated 2/4/2022 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: 200 amp overhead electric service. The certificate is issued to Stein,Christopher&Olivia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47419 2/8/2022 PLUMBERS CERTIFICATION DATED s` Authoriz Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT ca a TOWN CLERK'S OFFICE o . SOUTHOLD, NY L BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47419 Date: 2/4/2022 Permission is hereby granted to: Stein, Christopher 1490 Skunk Ln Cutchogue, NY 11935 To: 200A overhead electric service upgrade. At premises located at: 500 Blossom Bend, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-6-31.1 Pursuant to application dated 2/4/2022 and approved by the Building Inspector. To expire on 8/6/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector SO!/T�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a� sean.devlinCa)_town.southold.ny.us Southold,NY 11971-0959 cOUNT�,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Christopher Stein Address: 500 Blossom Bend city:Mattituck st: NY zip: 11952 Building Permit#: 47419 Section: 115 Block: 6 Lot: 31.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: MC Electric License No: 4391 ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 200A 40 Circuit Panel / 27 Used Notes: Service Upgrade Inspector Signature: Date: February 8, 2022 S.Devlin-Cert Electrical Compliance Form o�aOF SOUIyo H 7 9 19 e�0 TOWN: F.SOUTHOLD BUILDING DEPT. �yco765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND =[ ] --INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION- [ ] PRE C/O REMARKS: r� DATE INSPECTOR ECEP4E SignFEB �� B LDING DEPARTMENT- Electrical Inspector Off' TOWN OF SOUTHOLD zBUILDING DEPT. -)own Hall Annex - 54375 Main Road " PO Box 1179 WN OF SOUTHOLD ^+ Southold, New York 11971-0959 ®y,� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cbsoutholdtownny.gov - seand(aD_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1/26/22 Company Name: MC Electric Electrician's Name: Mathew D Borcina License No.: 4391 E Elec. email:mitchb@mc-electric.com Elec. Phone No: 631-758-9022 El I request an email copy of Certificate of Compliance Elec. Address.: 235 Waverly Ave Patchogue NY 11772 JOB SITE INFORMATION (All Information Required) Name: Chrsitopher Stein Address: 500 Blossom Bend Cross Street: New Suffolk Ave Phone No.: 631-566-1028 . Bldg Permit#: ''-�- email Tax.Map District:. . 1Q00 Section:1.15.00 Block 6.00 Lot.31. ( Y) BRIEF D'ESC`RIPTIQN OF WORK,.INCLU'DE SQUARE FOOTAGE ,Please I?nnt Clearl 200 Amp ElectricalService UpgradeOverhead Square Footage: circle All That Apply: Is:Job ready for inspection?:. -.YES NO Rough an El Final Do you need a Temp Certificate?: ❑ YES 0 NO Issued On . Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame D Pole Work done on Service? FjY MN Additional Information: PAYMENT DUE WITH APPLICATION rV �� PERMIT# Address:- Switches ddress:Switches Outlets GFI's Surface Sconces H H's WC Lts Fans ....., ... . .. . . . ., ,. <_ . . .. Fridge .. . r. .. . .._ _, _ HUV. .. .. .... . .. :. ,: . Exhaust Oven W/D Smokes DW Mini Carbon Micro: . , Generator Combo Co3ktop ` Tr,.ansfer AC': AH Hood Service Amps Have Used' Special:_ Comments: